Severe pneumonia due to : A case report and literature reviewNocardia otitidiscaviarum: A case report and literature review identified by mass spectroscopy in a cotton farmer: A case report and literature review

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Abstract

Rationale:

Nocardia species are aerobic saprophytic bacilli. Among Nocardia species, Nocardia otitidiscaviarum (N otitidiscaviarum) is rarely reported in pulmonary infection.

Patient concerns:

We reported a case of N otitidiscaviarum pneumonia in a cotton farmer.

Diagnoses:

N otitidiscaviarum pneumonia was identified by mass spectroscopy.

Interventions:

Combined treatments (amikacin, imipenem and trimethoprim-sulfamethoxazole) were administered after identification of N otitidiscaviarum.

Outcomes:

The patient eventually died from severe respiratory insufficiency in the hospital.

Lessons:

Early precise diagnosis and prompt combined therapy are of vital importance in severe Nocardia pulmonary infection.

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